Organization Active NPI

Associated Behavorial Outcomes and Developmental Experts of Virginia

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1003142290
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
97703001 Issued in VA
Legal business name
ASSOCIATED BEHAVORIAL OUTCOMES AND DEVELOPMENTAL EXPERTS OF VIRGINIA
Practice address
8659 Staples Mill Rd
Richmond, VA 23228
Phone
(804) 864-2273
Fax
(804) 726-2273
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sebastian Nmi Symeonides, QMHP
Title
Ceo/Owner
Phone
(804) 244-0802

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X 97703001 VA Primary

Addresses

Primary practice location

8659 Staples Mill Rd
Richmond, VA 23228

Mailing address

PO Box 28289
Richmond, VA 23228
Phone (804) 864-2273

Other identifiers 1

IdentifierTypeStateIssuer
1427105063MedicaidVA

Other names 1

  • VABODE, INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Behavioral Outcomes and Developmental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1003142290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28289",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-864-2273",
            "fax_number": "804-726-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8659 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-864-2273",
            "fax_number": "804-726-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED BEHAVORIAL OUTCOMES AND DEVELOPMENTAL EXPERTS OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "SYMEONIDES",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-244-0802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "97703001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427105063",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VABODE, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.